Membership Application 2021-2022

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Please complete one application per person. Items marked * are mandatory.

Email *

First Name *

Middle Name

Surname *

Address Line 1 *

Address Line 2

City

Postcode *

Telephone Number Home or Mobile

Enter your home phone number in the format STD code and number, or your mobile phone number. Do not enter the country code (+44). This will help us to keep our records in a standard format.

Membership Fee

The membership fee is £15 per person and can be paid in cash, by cheque to West Oxford U3A, or by online transfer to Sort Code 30-19-83 Account number 00101463 quoting your initials and surname as reference. If by post, please send cash or cheque to Liz Jones at Flat 9, 100 West Way, Botley, Oxford, OX2 9JU.

Your Membership Card will be posted to you free of charge.

We do not offer a joint membership - i.e. a separate application is required for each person. However, a single payment can be made to cover more than one membership, for example husband and wife or partners.

If your fee is being paid by someone else or is part of a single payment for more than one person you should still indicate the payment method.

Please indicate your payment method *

Online Transfer

Cheque

Cash

If your payment also includes someone else's fee, or if someone else is paying your fee, or if your fee is part of a single payment for more than one person, please supply the name of the other person involved below. This will help us to reconcile the payments.

Other Person (if applicable)

The support we receive from HMRC’s Gift Aid scheme is important to the finances of our U3A.
In order to Gift Aid your membership payment please tick the box below.

I want to Gift Aid my payment above and any donations I make in the future or have made in the past 4 years to West Oxford U3A. I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference.

Gift Aid

Please notify West Oxford U3A if you
- want to cancel this Gift Aid declaration
- change your name or home address
- no longer pay sufficient tax on your income and/or capital gains

If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code.

Data Privacy and Protection

Your personal data will be stored and processed in accordance with the U3A's Data Protection Policy, a copy of which may be accessed on this website or on request to the Membership Secretary. Your data will be used solely for the administration of the U3A and its events and activities. It will be shared with others only with your consent or when required by law or regulation.

Your Application

Please click on the button below if you would like a copy of your application responses emailed to you.
This will be an automatically generated record of your responses and will be in addition to any correspondence you will subsequently receive from West Oxford U3A.
You may need to check your Junk folder if you do not receive this email.

Send me a copy of my responses.

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